Effect of Wheelchair Stroke Pattern on Upper Extremity Muscle Fatigue

Bickelhaupt, Brittany; Oyama, Sakiko; Benfield, Jonathan A.; Burau, Keith D.; Lee, Shuko; Trbovich, Michelle

doi:10.1016/j.pmrj.2018.03.022

Cited by 2 publications

(4 citation statements)

References 43 publications

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“…8,9 There are several studies on which stroke patterns are more appropriate to prevent soft tissue injuries of the upper limb. [8][9][10] The Clinical Practice Guideline for Preserving Upper Limb Function Following Spinal Cord Injury 11 suggested the use of SC pattern, which had less angular joint velocity and lower cadence. [8][9][10][11][12] A more recent study demonstrated that the SC pattern appeared to be more fatiguing to shoulder muscles than the arcing pattern.…”

Section: Introductionmentioning

confidence: 99%

“…[8][9][10][11][12] A more recent study demonstrated that the SC pattern appeared to be more fatiguing to shoulder muscles than the arcing pattern. 10 It was also reported that the arcing pattern was more appropriate for uphill propulsion 13 and metabolically more effective than the SC pattern. 14 A study provides preliminary knowledge about the possible intercourse between changes in wheelchair propulsion technique and shoulder load.…”

Section: Introductionmentioning

confidence: 99%

“…[8][9][10] The Clinical Practice Guideline for Preserving Upper Limb Function Following Spinal Cord Injury 11 suggested the use of SC pattern, which had less angular joint velocity and lower cadence. [8][9][10][11][12] A more recent study demonstrated that the SC pattern appeared to be more fatiguing to shoulder muscles than the arcing pattern. 10 It was also reported that the arcing pattern was more appropriate for uphill propulsion 13 and metabolically more effective than the SC pattern.…”

Section: Introductionmentioning

confidence: 99%

“…Wheelchair propulsion stroke patterns are classified into four different types: arcing, semicircular (SC), single‐loop (SL), and double‐loop (DL) 8,9 . There are several studies on which stroke patterns are more appropriate to prevent soft tissue injuries of the upper limb 8‐10 . The Clinical Practice Guideline for Preserving Upper Limb Function Following Spinal Cord Injury 11 suggested the use of SC pattern, which had less angular joint velocity and lower cadence 8‐12 .…”

Section: Introductionmentioning

confidence: 99%

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Temporospatial parameters, shoulder kinematics, and acute tendon changes in four different stroke patterns in male wheelchair users with spinal cord injury

Korkmaz

Yardımcı

Yılmaz

2022

PM&R

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Background Manual wheelchair propulsion causes shoulder tendon pathologies in wheelchair users with spinal cord injury. Four different wheelchair stroke patterns can cause varying amounts of acute changes in the shoulder tendons. Objective To evaluate and compare acute changes in the supraspinatus and biceps tendons and acromiohumeral distance (AHD) after propulsion between different stroke patterns in individuals with spinal cord injury. In addition, to associate tendon changes with demographic and biomechanical characteristics. Design Prospective and comparative study between four groups. Setting Tertiary rehabilitation hospital. Patients Male wheelchair users with spinal cord injury. Interventions Participants were divided into four groups according to stroke pattern (arcing, semicircular [SC], single‐loop [SL], and double‐loop [DL]), in which they used their wheelchair on a motorized treadmill at a speed of 1 m/s. A sample of 40 people was created, 10 in each group. All participants performed a propulsion test. Main Outcome Measures Temporospatial variables and shoulder kinematics were analyzed. Supraspinatus tendon thickness (SSTT), long head of biceps tendon thickness (LHBTT), and AHD were measured before and after the propulsion test. Results SC pattern had lower cadence and larger contact angle. A reduction in SSTT and LHBTT in arcing pattern, LHBTT and AHD in SC pattern, and LHBTT in DL pattern was observed (all p < .05). However, SL pattern did not differ significantly in all ultrasonographic measurements (all p > .05). Body mass index was associated with a decrease in SSTT. Age and number of daily push‐ups were associated with a decrease in AHD. Conclusions Fewer tendon changes after the propulsion in the SL pattern suggested that the supraspinatus and biceps tendons were preserved in this pattern. The SL pattern may be a better choice for male wheelchair users with supraspinatus and biceps tendon pathologies.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Temporospatial parameters, shoulder kinematics, and acute tendon changes in four different stroke patterns in male wheelchair users with spinal cord injury

Korkmaz

Yardımcı

Yılmaz

2022

PM&R

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Reliability and normative values of the Wheelchair Propulsion Test: A preliminary investigation

Andrews

Vallabhajosula

Ramsey

et al. 2019

NRE

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BACKGROUND: Normative data for the equivalent of gait speed via the Wheelchair Propulsion Test (WPT) do not exist for wheelchair users. OBJECTIVE:The purposes of the current study were to: 1) determine the reliability of the WPT, 2) propose and compare normative values for the WPT for young adult males and females utilizing three different propulsion techniques, and 3) compare how different wheelchair types affect performance on the WPT. METHODS: 50 young adults (25 of each sex) performed the WPT using three different propulsion techniques in three different types of wheelchairs. Participants were asked to propel a wheelchair over 10 m at a comfortable speed. Time and number of pushes were recorded for three trials for each propulsion technique in each type of wheelchair. RESULTS: All of the ICC(2,2) values were >0.83 for speed and number of pushes. Normative values for speed, number of pushes, push frequency and effectiveness categorized by propulsion technique, sex and wheelchair type were developed. CONCLUSIONS: Preliminary normative values have been established for young adults performing the WPT. This study highlights the need to maintain consistency of the wheelchair type and propulsion technique between trials in order for the WPT to be reliable.

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Effect of Wheelchair Stroke Pattern on Upper Extremity Muscle Fatigue

Abstract: II.

Cited by 2 publications

References 43 publications

Temporospatial parameters, shoulder kinematics, and acute tendon changes in four different stroke patterns in male wheelchair users with spinal cord injury

Temporospatial parameters, shoulder kinematics, and acute tendon changes in four different stroke patterns in male wheelchair users with spinal cord injury

Reliability and normative values of the Wheelchair Propulsion Test: A preliminary investigation

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